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Completed

NCT Number: NCT05354414

Virtual Reality for the Mitigation of Anxiety During Intrathecal Administration in Participants With Spinal Muscular Atrophy

The primary objective of the study is to evaluate anxiety level during intrathecal administration (IT) under standard of care (SOC) and virtual reality (VR) conditions using a reliable self-rating scale.

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Key information

Age range

7 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Chu d' Angers, Angers, France

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Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Key Inclusion Criteria:

  • Participants aged 7 years and greater
  • Genetically documented spinal muscular atrophy linked to chromosome 5q (5q-SMA)
  • Loading nusinersen dose period is completed, and ongoing treatment with nusinersen
  • Ability of the candidate and/or their legally authorized representatives (e.g., parent, spouse, or legal guardian), as appropriate and applicable, to understand the purpose and risks of the study, to provide informed consent, and to authorize the use of confidential health information in accordance with national and local privacy regulations
  • Signed written informed consent from adult participants, or from legal authorized representatives for minors

Key Exclusion Criteria:

  • History of any clinically significant abnormalities that would render the candidate unsuitable for VR (e.g., visual or hearing impairment, presence of eye, face or sclap injuries) or for inclusion (e.g. cognitive impairment), as determined by the Investigator
  • Conditions that could be exacerbated by the VR environment, such as: (i) current symptomatic nausea, vomiting, dizziness, migraine; (ii) history of psychosis, hallucinations, epilepsy
  • Ongoing medical conditions or treatments that according to the Investigator would interfere with the conduct and assessments of the study (e.g. general anesthesia)
  • Participants wearing a pacemaker and pregnant woman

NOTE: Other protocol defined Inclusion/Exclusion criteria may apply.

Treatment and study plan

Virtual reality

Device

Administered as specified in the treatment arm.

Standard of care

Procedure

Administered as specified in the treatment arm.

Primary outcomes

  1. Visual Analog Scale for Anxiety (VAS-A) Score During IT as Evaluated by the Participant Just After IT

    Time frame: Up to 450 days

    The VAS-A scale is used in the assessment of anxiety. The 101-point scale (0 to 100) is a horizontal 100 millimeter (mm) line that starts with no anxiety on the left and ends with maximum anxiety on the right. The VAS score is determined by measuring in mm from the left-hand end of the line to the point that the participant marks. High scores on the scale indicate that anxiety is high.

Secondary outcomes

  1. Blood Pressure Before and After IT

    Time frame: Up to 450 days

    Systolic and diastolic blood pressures will be assessed.

  2. Heart Rate Before and After IT

    Time frame: Up to 450 days

  3. Short State-Trait Anxiety Inventory (Short STAI) Score During IT as Evaluated by the Participant Just After IT

    Time frame: Up to 450 days

    The 6-item short form of the Spielberger STAI is used to measure self-reported symptoms of state anxiety. It consists of 6 questions each having scale 1 (Almost Never) to 4 (Almost Always). The score range for the short STAI is 6 to 24 points, with 6 points signifying no anxiety and 24 points signifying the highest level of anxiety.

  4. Number of Participants With Use of Medication/Intervention for Anxiety and Pain Management Before, During and up to 72 hour (h) After IT

    Time frame: Up to 450 days

  5. Visual Analog Scale for Pain (VAS-P) Score Just After IT

    Time frame: Up to 450 days

    The VAS-P scale is used in the assessment of pain. The 101 point scale (0 to 100) is a horizontal 100 mm line that starts with no pain on the left and ends with maximum pain on the right. The VAS score is determined by measuring in mm from the left hand end of the line to the point that the participant marks. High scores indicate worse pain.

  6. Maximal VAS-P Score Within 72h of IT

    Time frame: Up to 450 days

    The VAS-P scale is used in the assessment of pain. The 101 point scale (0 to 100) is a horizontal 100 mm line that starts with no pain on the left and ends with maximum pain on the right. The VAS score is determined by measuring in mm from the left hand end of the line to the point that the participant marks. High scores indicate worse pain.

  7. Number of Participants With Satisfactory Experience of Using VR, Desire to Continue IT, Desire to Continue VR

    Time frame: Up to 150 days

    Participants will be asked to complete a satisfaction survey to evaluate his/her experience. It is a questionnaire consisting of 6 (for age >12 years) to 7 (for age <12 years) questions.

  8. Number of Participants With Satisfactory Experience of Using VR, as Assessed by Custom Care Team

    Time frame: Up to 150 days

    The custom care team will be asked to complete a satisfaction survey to evaluate participant's experience. It is a questionnaire consisting of 5 questions.

Sponsors and collaborators

Lead sponsor

Biogen

Industry

Registry information

Official study title

A Randomized Crossover Pragmatic Study to Evaluate Virtual Reality for the Mitigation of Anxiety During Intrathecal Administration in Patients With Spinal Muscular Atrophy. REALITY Study.

Acronym: REALITY

Important dates

Study start
2022
Primary completion
2024
Study completion
2024
First posted
Apr 29, 2022
Registry last updated
Apr 2, 2025

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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